Job: Hospitalist - Bethesda Regional Health Centre Steinbach MB

Site Information

Facility Admin: Shannon Noel

Practice Name: Bethesda Regional Health Centre

Region: Southern Health-Santé Sud

Practice Setting: 

Address: 316 Henry St [map]
Steinbach, MB R5G 0P9

Work Phone: 204-346-6699

Email: snoel@southernhealth.ca

Basic Information

Status: Active

Job Title: Hospitalist - Bethesda Regional Health Centre Steinbach MB

Job Description: 
The following duties and responsibilities will apply to the Physician(s) providing care to the unassigned patients at the Bethesda Hospital (the “Hospitalist Physician”).

The Physician will be responsible for the coordination of care of designated unassigned patients, including the coordination of care provided by hospital personnel and the seeking of advice from consultants/community physician(s). ER Physician, Anesthesia On-Call Physician or Surgeon On-Call may be available for this consultation.
•When on call, the Physician is expected to respond to all pagers/calls within fifteen (15) minutes;
•During working hours (8am to 5pm), the Physician is expected to stay in the vicinity of the City of Steinbach / be available within 15 minutes;
•After hours, if the Physician must return to the hospital, he/she must do so within sixty (60) minutes;
•Alternatively, he/she must find a delegate who is willing and able to attend to the patient within the same timeframes and communicate this to the staff nurse caring for the patient;
•Winnipeg Transfers: In transferring the 'sick patient' to the city it should be the responsibility of the Physician to accompany the patient if they think it is appropriate based on their clinical assessment;
•Admissions: The Physician should attempt to admit all patients before 5 pm. After hours, it is reasonable to ask the ER doc to keep them in ER overnight if they happen to call after 5 pm. These patients must be seen and admitted in the morning to assist with patient flow;
•Emergency care to in-patients may be provided by Emergency Department physicians in collaboration with other hospital staff. In most cases, the Physician will be expected to return to the hospital within an hour to take over further management of that patient’s care;
•Whenever possible, timely ordering and review of all necessary diagnostic and lab investigations should be both ordered and reviewed within the same shift and not left for the next Physician;
•Be responsive to timely communication with patients and their families;
•The Physician who accepts a new unassigned admission will be responsible for histories and physicals, transfer notes and progress notes as follows:
•Documentation about histories and physicals will contain information about entrance complaint(s), history of present illness, past, family and social history as well as a review of systems, medications and allergies, a documented illness-appropriate physical examination and a treatment/discharge plan including resuscitation status and DVT prophylaxis;
•When notified of admission or transfer between 0700 and 1700, history and physical or transfer note and orders should be documented the same day. When notified after 1700, history and physical or transfer note and orders should be documented by the physician who accepted the admission (ie. by the night/call Doc). This should be completed the following day;
•Daily progress notes, including in-depth review of patient conditions, with prompt and timely investigation and management plan, (including disposition), are required on active patients;
•Transfer of care of patients will ideally occur in a "face-to-face" manner by means of chart review and an introduction of the new attending physician to the patient if possible. As a minimum, the sicker patients need transfer of care either through phone or in person along with a thorough 'sign over note';
•Actively discharge patients (as medically appropriate) to ensure this responsibility is not left for the incoming Physician;
•The physician will be responsible for discharge summaries as follows:
•Discharge summaries are the responsibility of the most responsible Physician at the time of discharge;
•Discharge summaries, in accordance with the rules and regulations of the Regional Health Authority should be completed within two weeks (14 days) of the chart being available in Medical Records with a copy sent to the community Physician(s). The discharge summary will contain a summary of relevant investigations, a summary of treatment and progress, a list of all active problems, a list of discharge medications and doses and (as appropriate) recommendation to the community Physician regarding follow¬ up;
•Communicate with community physicians including ensuring discharge summary information sheet necessary to manage patient in the community is completed and accurate.
•General Responsibilities of the Hospitalist physician:
•Participation as active members of the multidisciplinary team;
•Participation in quality assurance activities;
•Actively promote and participate in patient flow improvement activities;
•Participation as active members of the medical staff, hospital committees and quality improvement;
•Conducting themselves in accordance with accepted ethical and professional standards;
•Carrying out their duties in an effective manner by best practices, for example, use of care maps, clinical practice guidelines, and attention to length of stay;
•Be a team player, and have a positive attitude and impact.

Have 2 physicians providing hospitalist coverage of the unassigned patients. Each physician would be responsible for 15 to 18 of the unassigned patient load.

Daily Hourly Rate of $147.85 x 9 hrs x 7 days, with after-hours call coverage $580.62 x 7 days

Qualifications
•ACLS is required
•Given the cultural diversity of our region, the ability to respect and promote a cultural diverse population is required
•Proficiency of both official languages is essential for target and designated bilingual positions
•Demonstrated ability to meet the physical and mental demands of the job
•Demonstrated ability to respect confidentiality including paper, electronic formats and other mediums
•Good work and attendance record

Job Requirements

Start Date: Various

End Date: Jun 30, 2020

Medical Specialization: Family Medicine

Schedule Type: Partial or Part Time

Normal Work Hours: On Site Daily for 9 hours, and On-Call 24hrs.

Schedule Description: 
Monday 8 am to the following Monday at 8 am. Have 2 physicians providing hospitalist coverage of the unassigned patients. Each physician would be responsible for 15 to 18 of the unassigned patient load.

Daily Hourly Rate of $147.85 x 9 hrs x 7 days, with after-hours call coverage $580.62 x 7 days

Work Environment

Daily Average Patient Volume: 

Number of Physicians in the practice group: 3

Number of Physicians in local practice available
to provide service during the locum period:
 3

Number of Physicians sharing the call roster: 2

Total number of Physicians in the community: 0

Languages used in practice: English

Will the physician be required to ER: N

Additional Certification Required: ACLS

Type of EMR System: Accuro

Dedicated Computer for Physician Use: Y

High Speed Internet: Y

Physician Parking Available: N/A

Local ambulance service: Y

Access to Referral Centre by: Road

Referral Centre: Winnipeg Regional Health Authority

Work Environment Details: 

Travel Accommodation

Access to facility by: Road

Travel Details: 

Accommodation Type: Hotels

Accommodation Details: 

Local recreation facilities: 

Compensation

Billing Schedule: Contract

Billing Type: Solo

Billing Procedure: Electronic Billing

Other Remuneration Terms: 
Daily Hourly Rate of $147.85 x 9 hrs x 7 days, with after-hours call coverage $580.62 x 7 days

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